How much rates vary
Facilitymedian $4,365 · 10th to 90th $661 to $10,000Professionalmedian $209 · 10th to 90th $95 to $631
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $645.65 Median $4,265.80 Typical High $10,000.00 | Facility | Global | $645.65 | $4,265.80 | $10,000.00 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $794.33 Median $3,630.78 Typical High $18,197.01 | Facility | 50 · Both sides | $794.33 | $3,630.78 | $18,197.01 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $229.09 | Facility | 52 · Reduced service | $81.28 | $81.28 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $91.20 | Facility | 53 · Discontinued | $33.11 | $33.11 | $91.20 |
Aetna Setting Professional Modifier Global Typical Low $95.50 Median $208.93 Typical High $616.60 | Professional | Global | $95.50 | $208.93 | $616.60 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $338.84 Typical High $776.25 | Professional | 50 · Both sides | $208.93 | $338.84 | $776.25 |
Ambetter Setting Professional Modifier Global Typical Low $67.61 Median $134.90 Typical High $257.04 | Professional | Global | $67.61 | $134.90 | $257.04 |
AmeriHealth Setting Facility Modifier Global Typical Low $19,054.61 Median $19,054.61 Typical High $19,054.61 | Facility | Global | $19,054.61 | $19,054.61 | $19,054.61 |
AmeriHealth Setting Professional Modifier Global Typical Low $95.50 Median $165.96 Typical High $204.17 | Professional | Global | $95.50 | $165.96 | $204.17 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $7,585.78 Median $8,709.64 Typical High $57,543.99 | Facility | Global | $7,585.78 | $8,709.64 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $323.59 Median $562.34 Typical High $870.96 | Professional | Global | $323.59 | $562.34 | $870.96 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $870.96 Typical High $1,318.26 | Professional | 50 · Both sides | $478.63 | $870.96 | $1,318.26 |
Cigna Setting Professional Modifier Global Typical Low $154.88 Median $288.40 Typical High $645.65 | Professional | Global | $154.88 | $288.40 | $645.65 |
Emblem Health Setting Professional Modifier Global Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | Global | $616.60 | $616.60 | $630.96 |
Geisinger Setting Facility Modifier Global Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | Global | $1,737.80 | $1,737.80 | $1,737.80 |
Geisinger Setting Professional Modifier Global Typical Low $169.82 Median $446.68 Typical High $707.95 | Professional | Global | $169.82 | $446.68 | $707.95 |
Highmark BCBS Setting Facility Modifier Global Typical Low $2,344.23 Median $7,079.46 Typical High $13,489.63 | Facility | Global | $2,344.23 | $7,079.46 | $13,489.63 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,344.23 Median $7,413.10 Typical High $15,135.61 | Facility | 50 · Both sides | $2,344.23 | $7,413.10 | $15,135.61 |
Highmark BCBS Setting Professional Modifier Global Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | Global | $371.54 | $371.54 | $371.54 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 50 · Both sides | $562.34 | $562.34 | $562.34 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $2,630.27 Median $3,630.78 Typical High $25,118.86 | Facility | Global | $2,630.27 | $3,630.78 | $25,118.86 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $95.50 Median $190.55 Typical High $199.53 | Professional | Global | $95.50 | $190.55 | $199.53 |
Martin's Point Setting Facility Modifier Global Typical Low $645.65 Median $4,466.84 Typical High $10,000.00 | Facility | Global | $645.65 | $4,466.84 | $10,000.00 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $831.76 Median $4,265.80 Typical High $15,135.61 | Facility | 50 · Both sides | $831.76 | $4,265.80 | $15,135.61 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $229.09 | Facility | 52 · Reduced service | $81.28 | $81.28 | $229.09 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $91.20 | Facility | 53 · Discontinued | $33.11 | $33.11 | $91.20 |
Martin's Point Setting Professional Modifier Global Typical Low $138.04 Median $269.15 Typical High $794.33 | Professional | Global | $138.04 | $269.15 | $794.33 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $338.84 Typical High $891.25 | Professional | 50 · Both sides | $208.93 | $338.84 | $891.25 |
Oscar Health Setting Facility Modifier Global Typical Low $5,495.41 Median $5,754.40 Typical High $7,079.46 | Facility | Global | $5,495.41 | $5,754.40 | $7,079.46 |
Oscar Health Setting Professional Modifier Global Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | Global | $1,148.15 | $1,148.15 | $1,230.27 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $758.58 Median $1,698.24 Typical High $2,951.21 | Facility | Global | $758.58 | $1,698.24 | $2,951.21 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $151.36 Median $371.54 Typical High $416.87 | Professional | Global | $151.36 | $371.54 | $416.87 |
United Setting Facility Modifier Global Typical Low $1,659.59 Median $3,890.45 Typical High $10,471.29 | Facility | Global | $1,659.59 | $3,890.45 | $10,471.29 |
United Setting Professional Modifier Global Typical Low $147.91 Median $346.74 Typical High $741.31 | Professional | Global | $147.91 | $346.74 | $741.31 |
Where Pennsylvania sits
The same service costs 8.7 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
WY $8,220MT $943
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.